Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 127 - Community First Choice Personal Care Services
7 AAC 127.085 - Personal emergency response system services
Universal Citation: 7 AK Admin Code 7 AAC 127.085
Current through February 27, 2024
(a) The department will pay for a personal emergency response system that
(1) is supported by a prescription or other
written documentation required by the department's Specialized Medical
Equipment Fee Schedule, adopted by reference in 7 AAC 160.900,
(A) from an individual qualified to practice
under AS 08 or 7 A AC 105.200(c) as
(i) a
physician, including an osteopath;
(ii) a physician assistant;
(iii) an advanced practice registered
nurse;
(iv) an occupational
therapist; or
(v) a physical
therapist; and
(B)
stating that the specific item requested is appropriate for the recipient and
consistent will the support plan;
(2) is supported by a written cost
estimate;
(3) is approved under 7
AAC 127.039 as pail of the recipient's support plan; and
(4) receives prior authorization.
(b) The department will consider an item to be a personal emergency response system if that system
(1) includes a device, control, or appliance
that, for a system use fee, communicates directly with emergency response
personnel for calls for assistance in an emergency; and
(2) is identified in the department's
Specialized Medical Equipment Fee Schedule, adopted by
reference in 7 AAC 160.900.
(c) The department will pay under this section subject to the following:
(1) the
unit cost of equipment is determined by including the cost of
(A) training in the proper use of the
equipment; and
(B) routine fitting
of and maintenance on the equipment necessary to meet applicable standards of
manufacture, design, and installation;
(2) personal emergency response system
equipment may be rented if the department determines that renting the equipment
is more cost-effective than purchasing it;
(3) once purchased, personal emergency
response equipment becomes the property of the recipient.
(d) The department will not
(1) give prior authorization to replace
personal emergency response system equipment before the expiration of the time
period identified in the department's Specialized Medical Equipment Fee
Schedule, adopted by reference in 7 AAC 160.900, unless the department
determines that replacement is more cost-effective than repairing that
equipment; or
(2) pay for a
personal emergency response system as a Community First Choice service, if the
same or comparable system is covered under 7 AAC 120.200 - 7 AAC
120.399
(e) A recipient may request a hearing under 7 AAC 49 for a decision by the department not to authorize a personal emergency response system for the recipient.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.036
AS 47.07.040
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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